为了评价鼻中隔粘膜下切除术的效果,对1972～1974年间进行的913例手术进行了病历复习和通讯随访,平均随访时间为术后59.53个月。613例(67.2%)信访有答复,其中452例(49.5%)详细回答了询问。另选53名进行了详细检查。所有资料用电子计算机进行分析。913例中,男性703例(77%),平均手术年龄为32.34岁。94.7%为首次手术,4.9%为二次手术,3例为三次手术。所有病例均为标准Killian术式。手术效果由病人的答复、医师的记录和作者的分析三方面综合评定。从各项参数综合来看,首次手术的成功率为70%左右,二次手术的成功率为50%,三次手术的3例无1例成功。术者经验多,手术效果也较好。约2/3病人术后鼻堵减轻,1/2打鼾及鼻衄症状好转,1/3流涕和后鼻滴涕缓解。但术后鼻腔结痴的较术前增加了11倍。44%术后鼻中隔正直,12.6%仍然偏曲,43.4%无记载。4.3%术后发生鼻中隔穿孔。少数患者术后1～2年症状又有反复。另选53名患者进行了仔细的病历复核,详细 In order to evaluate the effect of submucous resection of the nasal septum, 913 cases of surgery performed between 1972 and 1974 were followed up for medical records and communication, with an average follow-up time of 59.53 months. There were 613 cases (67.2%) responding to the petitions, of which 452 (49.5%) answered the questions in detail. The other 53 conducted a detailed examination. All data using computer analysis. Among 913 cases, 703 (77%) males had an average operative age of 32.34 years. 94.7% were the first operation, 4.9% were the second operation and 3 were the third operation. All cases were standard Killian surgery. The effect of the surgery was evaluated by the patient’s reply, the physician’s record and the author’s analysis. From the comprehensive analysis of the parameters, the success rate of the first operation was about 70%, the success rate of the second operation was 50%, three cases of three operations without success. Experienced surgeons, surgical results are better. Approximately two-thirds of patients had postoperative nasal plug reduction, one-half snore and apnea symptoms improved, and one third of runny nose and postnasal nasal discharge were relieved. However, postoperative nasal knot more than 11 times increased preoperatively. 44% postoperative nasal septum integrity, 12.6% are still partial curvature, 43.4% undocumented. Nasal septum perforation occurred after 4.3%. A small number of patients 1 to 2 years after the symptoms have repeated. Another 53 patients were carefully reviewed the medical record, detailed